Organization Active NPI

Shalom Enterprise

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lake Havasu City, AZ
National Provider Identifier
1861340143
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SHALOM ENTERPRISE
Practice address
3768 Bear Dr
Lake Havasu City, AZ 86406-4377
Phone
(928) 302-1671
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rita Byron
Title
Ceo
Phone
(928) 302-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3768 Bear Dr
Lake Havasu City, AZ 86406-4377

Mailing address

18473 W Ivy LN
Surprise, AZ 85388-2349
Phone (623) 920-1737

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1861340143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18473 W IVY LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882349",
            "telephone_number": "623-920-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 BEAR DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864064377",
            "telephone_number": "928-302-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BYRON",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-302-1527",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.